Minimal access surgery vs medical management for chronic GERD

Dr Adrian Grant and colleagues from the United Kingdom determined the relative benefits and risks of laparoscopic fundoplication surgery as an alternative to long term drug treatment for chronic gastro-oesophageal reflux disease (GERD).

The research team conducted a multicenter, pragmatic randomized trial in 21 hospitals in the United Kingdom.

The team randomized 357 participants and 453 preference participants with a mean age of 46 of which 66% men.

All participants had documented evidence of GERD and symptoms for over 12 months.